Payer: Page 192
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Deep Dive
What you missed at the Health Affairs Food and Health briefing
Here’s what industry experts shared about the new integration between the food and health industries.
By Jeff Byers • Nov. 5, 2015 -
Let's make a deal! California and feds OK $6.2B Medicaid reform agreement
The majority of the funds, $3.3 billion, will go towards helping public hospitals improve safety and quality of patient care.
By Nina Flanagan • Nov. 5, 2015 -
Explore the Trendline➔
Yujin Kim/Healthcare Dive
TrendlinePayer/provider relationships
As M&A intensifies and companies embrace more holistic and value-based care models, partnerships have become more closely intertwined.
By Healthcare Dive staff -
UnitedHealth positioned to benefit by others' megamergers
The company could profit from its competitors' growing pains, experts suggest.
By Heather Caspi • Nov. 4, 2015 -
Deep Dive
How much do physicians trust insurance companies?
"Dismal" trust levels could impede risk-based healthcare and payment models.
By Heather Caspi • Nov. 4, 2015 -
HCA to bury shareholder hatchet for $215M
The 2011 lawsuit to be settled alleged the company used misleading information when making its initial public offering.
By Jeff Byers • Nov. 4, 2015 -
Michigan health co-op to shutter operations
Yesterday, representatives at a contentious House Ways and Means Subcommittee on Health meeting vented their frustrations on why the co-ops are failing.
By Jeff Byers • Nov. 4, 2015 -
Montana becomes 30th state to expand Medicaid
After a three-year battle to achieve a bipartisan compromise, some experts hope more states will follow.
By Heather Caspi • Nov. 4, 2015 -
SHOP enrollment falls short of expectations
The marketplace for small employers is proving slow to catch on but that isn't bothering the Obama administration.
By Heather Caspi • Nov. 4, 2015 -
HealthCare.gov testing whether consumers will use physician search feature
CMS stated a pilot prescription drug check feature will roll out in the coming weeks.
By Jeff Byers • Nov. 3, 2015 -
Health Alliance Plan, HealthPlus Sign like each other so much, they agreed to merge
The merger will establish a company that’s one of the largest health insurers in Michigan.
By Jeff Byers • Nov. 3, 2015 -
New York health co-op forced by government hand to close early
Health Republic Insurance of New York will end all policies on Nov. 30.
By Jeff Byers • Nov. 3, 2015 -
California slaps Blue Shield, Anthem with fines over inaccurate provider directories
“These inaccuracies limited enrollee access to care that resulted in an unacceptable consumer experience and must be fixed.”
By Jeff Byers • Nov. 3, 2015 -
Health Affairs: Severe obesity cost U.S. $69B
Approximately 27% of the cost of severe obesity was paid for by private health plans in 2013.
By Jeff Byers • Nov. 3, 2015 -
2016 OPPS rule finalizes two-midnight policy, doesn't take criticism
Hospital admissions lasting less than two midnights can qualify as exceptions to be payable under Medicare Part A.
By Heather Caspi • Nov. 3, 2015 -
CMS to Arizona co-op: No market exchange for you
Meritus, the 11th health cooperative to shut its doors, was reportedly caught off-guard by last week's order for supervision.
By Heather Caspi • Nov. 3, 2015 -
With final rule, Medicare to pay for end-of-life consultations
CMS proposed Medicare start reimbursing for end-of-life consults back in July.
By Nina Flanagan • Nov. 3, 2015 -
Nonprofit hospitals poor at informing patients about charity care
A study finds the hospitals "far from perfect" on meeting requirements to tell patients about their options.
By Heather Caspi • Nov. 2, 2015 -
Proposed rule addresses wellness programs' collection of health info
Voluntary programs would be allowed to seek limited genetic information.
By Heather Caspi • Nov. 2, 2015 -
CMS releases final rule on essential services for Medicaid beneficiaries
The provisions aim to enhance meaningful access to healthcare services.
By Heather Caspi • Nov. 2, 2015 -
UnitedHealthcare expands pilot of bundled payments for chemo
The insurer is also working on a deal to purchase workers' comp and pharmacy benefits company Helios.
By Heather Caspi • Oct. 30, 2015 -
Aetna to rejoin Colorado small-group market
However, the insurer will no longer offer subsidized health insurance benefits in Utah, Kansas, and D.C.
By Heather Caspi • Oct. 30, 2015 -
HHS: Switch health plans, save money
Despite average increases in premiums, those who shop around are likely to be able to save.
By Heather Caspi • Oct. 30, 2015 -
House passes budget deal, Medicare changes included
The bill now heads to the Senate.
By Jeff Byers • Oct. 29, 2015 -
Anthem Blue Cross reimburses California customers $8.3M
One expert stated "this settlement...holds the insurance company accountable to the terms they promised."
By Nina Flanagan • Oct. 29, 2015 -
Blue Shield of California removing two hospitals from network
Insurer states rates would have been higher if the insurer kept the dropped hospitals.
By Nina Flanagan • Oct. 29, 2015